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Hypertension is a non-communicable disease which increases every year, with the increasing incidence of Hypertension will have an impact on society, namely a decrease in health status which results in a decrease in the quality of life. Management of hypertension can be done with non-pharmacological therapy, one of the non-pharmacological therapies chosen by the community, namely complementary therapy, neck massage therapy using VCO and cupping is a complementary therapy that aims to reduce hypertension. The sampling technique used was purposive sampling. The sample in this study 16 respondents were given neck massage therapy with VCO and 16 respondents were given dry cupping therapy. The data analysis used was the Spearman rank because the data were not normally distributed. Before being given neck massage therapy with a mean VCO, systolic blood pressure was 156.25, diastolic blood pressure was 87.50 after being given a mean value of 124.38 and diastolic 81.25 with a systolic p value of 0.000 while for diastolic blood pressure of 0.008. Whereas in the group given dry cupping therapy systolic blood pressure with a mean of 158.82 and diastole a mean of 90.59, after being given dry cupping therapy, systolic blood pressure was 124.71 while diastole was 78.82 with a systolic p value of 0.000 and diastole of 0.009. The difference in blood pressure in the two interventions for the system p value was 0.968 while for diastole the p value was 0.625, which means there was no difference between the two interventions. So it can be concluded that both neck massage therapy with VCO and dry cupping therapy can reduce blood pressure in patients with hypertension.

Background and purpose: Neonatal jaundice is both a physiological and pathological condition. Neonatal physiological jaundice occurs within 3-5 days after the baby is born. Publications about colostrum and neonatal jaundice are still limited. This study aims to determine the risk of the onset of colostrum discharge of more than 6 hours to physiological jaundice in neonates.Methods: A case control study was conducted at the Sanglah General Hospital in Denpasar from August to December 2017. The number of cases was 55 neonates with physiological jaundice and the number of controls was 55 neonates without physiological jaundice. Cases and controls were selected by consecutive sampling. The occurrence of physiological jaundice was obtained by direct observation and the degree of jaundice was determined based on the division of Kramer's body zone. Neonates with the Kramer grades I and II at the age of 3-5 days were classified as experiencing physiological jaundice (as cases) and neonates with a Kramer grade of 0 at the age of 3-5 days were classified as not jaundice (as controls). Cases were matched with controls by sex and age of the neonates. Data on maternal socio-demographic characteristics, onset of colostrum discharge, early breastfeeding initiation and 24-hour breastfeeding frequency were obtained by interview; data on jaundice was obtained by observation while mode of delivery, parity, history of pre-eclampsia, prematurity, neonatal birth weight, history of birth trauma (cephalic hematoma), history of asphyxia and major congenital abnormalities were obtained from medical records. Multivariate analysis with binary logistic regression was carried out to determine the adjusted odds ratio (AOR) of the onset of colostrum discharge.Results: The characteristics of cases and controls were found to be similar in terms of maternal education, neonatal age and sex, parity and pre-eclampsia history. Significant outset of colostrum >6 hours was found to be associated with physiological jaundice with AOR=2.57 (95%CI: 1.04-6.37). In this study, variables that were not found to be the risk factors of physiological jaundice in neonates were: cesarean delivery (AOR=0.36; 95%CI: 0.09-1.41; p=0.14), breastfeeding frequency within 24 hours (AOR=2.20; 95%CI: 0.47-10.23; p=0.31) and early breastfeeding initiation (AOR=0.71; 95%CI: 0.19-2.59; p=0.60)Conclusion: Onset of colostrum discharge >6 hours is a risk factor for neonatal jaundice. Efforts should be made to accelerate the release of colostrum in order to prevent neonatal jaundice.

There are 901 million people aged 60 years or over, comprising 12% of the world's population (Department of Economic and Social Affairs, 2015). The Morbidity rate in the elderly in 2015 was 28.62%, which means that for every 100 elderly people, 28 people are sick (Kemenkes RI, 2017). The utilization of health services in the elderly Posyandu is still far from the expected target. (Aprilia, 2019): out of 105 elderly, 65.7% do not regularly go to Posyandu in Pekanbaru. The data on elderly visits to the Banjar WangayaKaja elderly posyandu in the last three months were 41 elderly (29.31%). This study aims to analyze the obedience factor of the elderly in the utilization of posyandu services for the elderly.A cross-sectional study was conducted in Banjar WangayaKaja, Denpasar Utara in October-November 2019. The sample was 99 elderly with non-probability sampling technique, namely purposive sampling. Elderly who changed residence, were sick / hospitalized and totally dependent were not sampled. Demographic data, the distance from the elderly's house to the elderly posyandu and the knowledge of the elderly were obtained by distributing questionnaires, the attendance of the elderly was obtained based on attendance in the past one year. Multivariate analysis with logistic regression was carried out to obtain POR.There was a relationship between POR age = 0.17 (95% CI: 0.03-0.94), education POR = 2.71 (95% CI: 1.23-6.01) and the role of cadres POR = 59 , 64 (95% CI: 9,18-387,41) with elderly compliance in the utilization of posyandu services for the elderly. Factors that were not statistically found to be associated were gender (p-value: 0.552), occupation (p-value: 0.490), location distance to elderly posyandu (p-value: 0.009) and knowledge (p-value: 0.894). Cadres further enhance their roles, such as conducting home visits, as motivators as an effort to improve posyandu services for the elderly.

Smoking is a behavior that is very easily seen in everyday life. At this time cigarettes are not only consumed by adults, smoking is also one of the most common juvenile delinquents which is about 44,5% smoking consumed by teenagers. The cause of smoking among teenagers one of which is due to stress. This study aimed to to know the relationship of beetween the level stres with smoking behavior toward the teenagers. Method : This study used cross sectional method. The number of samples of this research was 65 people collecting by purposive sampling technique. The data collected by stress and smoking behavior questionnaire. Result : the teenagers have middle level of stress as much as 27 people (41,5%) and 39 teenagers (60%) confessed who smoke strong. Rank Spearman test results obtained p = 0,000 with a significance value of p